Active NPI
Lee Ronald Ferguson, M.D./PH.D
- General Practice Physician
- Coral Springs, FL
National Provider Identifier
1336443704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10132281-1205
- Practice address
- 11708 NW 27TH St
Coral Springs, FL 33065-3309 - Phone
- (352) 284-4657
- NPI assigned
- Dec 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 10132281-1205 | UT | Primary |
Addresses
Primary practice location
11708 NW 27TH St
Coral Springs, FL 33065-3309
Mailing address
11708 NW 27TH St
Coral Springs, FL 33065-3309
Phone (352) 284-4657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10132281-1205 | UT | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Value Healthcare LLC | Current | Accepting new patients |
Locations
525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- North Fort Myers, FL
- NPI 1619542446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1336443704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11708 NW 27TH ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653309",
"telephone_number": "352-284-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11708 NW 27TH ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653309",
"telephone_number": "352-284-4657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "LEE",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D./PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-28",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "UT",
"license": "10132281-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.